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目的探讨彩超检查中甲状旁腺疾病误诊的原因。方法选择2014年1月-2015年1月在天津市公安医院及外院外科手术病理证实为甲状旁腺疾病且手术前行彩超检查的17例患者,回顾性分析17例甲状旁腺疾病患者的二维超声、彩色多普勒声像图表现。结果 17例患者中,超声首诊正确11例,误诊6例。结论甲状旁腺疾病超声极易误诊,诊断时要从位置边缘情况、血流情况、纵横比、直径大小、对周围组织的侵犯等加以观察鉴别,同时要更加关注临床表现以及其他影像学及实验室检查,以提高诊断准确率。
Objective To investigate the causes of misdiagnosis of parathyroid disease in color Doppler ultrasound examination. Methods From January 2014 to January 2015, 17 patients with parathyroid disease confirmed by surgical pathology of Tianjin Public Security Hospital and the outpatient hospital before operation and color Doppler ultrasound examination before operation were retrospectively analyzed. The data of 17 patients with parathyroid disease Dimensional ultrasound, color Doppler sonography performance. Results Among the 17 patients, 11 cases were correctly diagnosed by ultrasound and 6 cases were misdiagnosed. Conclusions Ultrasound diagnosis of parathyroid disease can be easily misdiagnosed. Diagnosis should be based on the location of the edge, blood flow, aspect ratio, diameter, invasion of the surrounding tissues, etc., and pay more attention to the clinical manifestations and other imaging studies and experiments Room examination to improve diagnostic accuracy.